Structured oncology template (OT) reports are preferred by physicians. Promoted in Australia and New Zealand (ANZ) since 2008, this study investigates the current OT use in ANZ and perceptions around OT reporting.
Methods
An online survey was created and sent to > 350 ANZ radiologists, aiming to gain insight into the current rates of OT reporting, demographic variations, OT types, implementation and perceived advantages and limitations. Statistical analyses were descriptive.
Results
Of 164 respondents, 21% never used an OT; 49% used OTs for > 75% of oncology reports, highest rates were those with 10–20 years of experience (29/61) and reporting > 10 oncology CTs per week (10–20 cases 74% and > 20 cases 72%); 72% used tumour, lymph node and metastases headings; 57% used OTs for all diagnosed cancers; 37% used measurement tables; 70% used subjective terms in their conclusion; and only 4% used synoptic reports. Most selected advantage was ‘More clarity and increased communication with clinicians’. Most selected disadvantage was ‘lack of experience in template reporting’ for those using an OT and ‘Inflexible and limits creativity’ for those who did not.
Conclusion
OT use is supported across ANZ. Use is higher in those reporting more oncology cases and with 10–20 years of experience. OT reports are perceived as beneficial by those using them, while those who do not perceive them as inflexible.
{"title":"Use and Perceptions of Oncology CT Structured Reports in Australia and New Zealand","authors":"K. J. Brown, A. Agarwal, K. L. Gormly","doi":"10.1111/1754-9485.13860","DOIUrl":"10.1111/1754-9485.13860","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Structured oncology template (OT) reports are preferred by physicians. Promoted in Australia and New Zealand (ANZ) since 2008, this study investigates the current OT use in ANZ and perceptions around OT reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey was created and sent to > 350 ANZ radiologists, aiming to gain insight into the current rates of OT reporting, demographic variations, OT types, implementation and perceived advantages and limitations. Statistical analyses were descriptive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 164 respondents, 21% never used an OT; 49% used OTs for > 75% of oncology reports, highest rates were those with 10–20 years of experience (29/61) and reporting > 10 oncology CTs per week (10–20 cases 74% and > 20 cases 72%); 72% used tumour, lymph node and metastases headings; 57% used OTs for all diagnosed cancers; 37% used measurement tables; 70% used subjective terms in their conclusion; and only 4% used synoptic reports. Most selected advantage was ‘More clarity and increased communication with clinicians’. Most selected disadvantage was ‘lack of experience in template reporting’ for those using an OT and ‘Inflexible and limits creativity’ for those who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>OT use is supported across ANZ. Use is higher in those reporting more oncology cases and with 10–20 years of experience. OT reports are perceived as beneficial by those using them, while those who do not perceive them as inflexible.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"554-560"},"PeriodicalIF":1.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.13860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aims to introduce a practical, visually based grading system for FDG extravasation in PET/CT imaging and to investigate its impact on semi-quantitative SUV measurements in reference regions. The objective is not only to quantify the effect but also to provide a framework for guiding clinical interpretation and reporting.
Methods
A total of 235 oncologic PET/CT scans were retrospectively analysed. Patients were categorised into four groups based on extravasation severity: Grade 0 (no extravasation), Grade 1 (minimal), Grade 2 (moderate), and Grade 3 (severe). A visual grading system was developed and applied to classify image quality degradation. Mean SUVmax and SUVmean values were recorded from liver and mediastinal blood pool regions. Statistical comparisons were conducted using ANOVA and post hoc testing.
Results
FDG extravasation was observed in 75 patients (31.9%). Among the 75 patients with extravasation, 43 were Grade 1 and 26 were Grade 2. Statistically significant increases were found in both liver and mediastinal SUV values in patients with Grade 1 and 2 extravasation compared to Grade 0 (p < 0.001 for all). For example, Liver SUVmax increased from 3.13 ± 0.44 (Grade 0) to 3.58 ± 0.50 (Grade 1), and MedSUVmean increased from 1.80 ± 0.31 (Grade 0) to 2.17 ± 0.40 (Grade 2), representing up to a 20.6% difference. Grade 3 cases did not show consistent trends.
Conclusion
Low-to-moderate FDG extravasation can significantly alter reference SUV values. Incorporating extravasation grading into clinical reporting or normalising reference SUV values may enhance diagnostic consistency and minimise the need for repeat imaging.
{"title":"FDG Extravasation in PET/CT Imaging: A Visual Grading Approach Based on Clinical Observations","authors":"Seçkin Bilgiç","doi":"10.1111/1754-9485.13876","DOIUrl":"10.1111/1754-9485.13876","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aims to introduce a practical, visually based grading system for FDG extravasation in PET/CT imaging and to investigate its impact on semi-quantitative SUV measurements in reference regions. The objective is not only to quantify the effect but also to provide a framework for guiding clinical interpretation and reporting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 235 oncologic PET/CT scans were retrospectively analysed. Patients were categorised into four groups based on extravasation severity: Grade 0 (no extravasation), Grade 1 (minimal), Grade 2 (moderate), and Grade 3 (severe). A visual grading system was developed and applied to classify image quality degradation. Mean SUVmax and SUVmean values were recorded from liver and mediastinal blood pool regions. Statistical comparisons were conducted using ANOVA and post hoc testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>FDG extravasation was observed in 75 patients (31.9%). Among the 75 patients with extravasation, 43 were Grade 1 and 26 were Grade 2. Statistically significant increases were found in both liver and mediastinal SUV values in patients with Grade 1 and 2 extravasation compared to Grade 0 (<i>p</i> < 0.001 for all). For example, Liver SUVmax increased from 3.13 ± 0.44 (Grade 0) to 3.58 ± 0.50 (Grade 1), and MedSUVmean increased from 1.80 ± 0.31 (Grade 0) to 2.17 ± 0.40 (Grade 2), representing up to a 20.6% difference. Grade 3 cases did not show consistent trends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Low-to-moderate FDG extravasation can significantly alter reference SUV values. Incorporating extravasation grading into clinical reporting or normalising reference SUV values may enhance diagnostic consistency and minimise the need for repeat imaging.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 6","pages":"617-625"},"PeriodicalIF":1.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valeria Noguera, Laura Manuela Olarte Bermúdez, David Fernando Torres Cortes, Juan Andres Mejia
{"title":"Commentary to: A Greener Path for Interventional Radiology","authors":"Valeria Noguera, Laura Manuela Olarte Bermúdez, David Fernando Torres Cortes, Juan Andres Mejia","doi":"10.1111/1754-9485.13877","DOIUrl":"10.1111/1754-9485.13877","url":null,"abstract":"","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 6","pages":"660-661"},"PeriodicalIF":1.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph Chan, Andrew Kneebone, Gabrielle Metz, Jeremy Booth, Meegan Shepherd, Carol Kwong, Chris Brown, Ian Norton, Stephen Clarke, Connie Diakos, Nick Pavlakis, Anubhav Mittal, Jaswinder Samra, George Hruby
Introduction
The role of stereotactic body radiotherapy (SBRT) remains unclear in the setting of pancreatic ductal adenocarcinoma (PDAC). This study aims to investigate the safety, feasibility and benefits of SBRT for PDAC in a clinical trial setting.
Methods
SPAN-C was a single centre, single-arm, phase II clinical trial. Patients with locally advanced, borderline resectable, and metastatic PDAC suitable for high dose radiation were enrolled. Fiducial marker placement was mandated. Following induction chemotherapy, patients were treated with 40-45Gy in 5 fractions of external beam radiotherapy. Freedom from local failure at 12 months was the primary endpoint. Secondary endpoints included disease recurrence endpoints, acute and late toxicity, surgical outcomes, and palliative endpoints.
Results
Thirty patients were enrolled. Median follow up of alive patients was 5 years (min 31 months). Twenty-six completed treatment as per protocol. Nine patients (34.6%) underwent a resection, 5 of whom had a R0 resection and 2 had a complete pathologic response. The 12-month freedom from local failure was 100% for the resected subgroup and 76.5% for the unresected subgroup. Seven patients (26.9%) had local recurrences, with 5 of these in the unresected group (29.4%). Median OS was 37.9 months for the resected subgroup and 10.7 months for the unresected subgroup. Three patients had grade 3 acute toxicity, and no patients had late high-grade toxicity.
Conclusions
SBRT was safe and feasible with high rates of local control at 12 months and low rates of toxicity. It appears a valid alternative to chemo-irradiation in both the pre-operative and inoperable setting.
{"title":"SPAN-C: Results of a Phase II Clinical Trial of Stereotactic Body Radiotherapy in Pancreatic Ductal Adenocarcinoma","authors":"Joseph Chan, Andrew Kneebone, Gabrielle Metz, Jeremy Booth, Meegan Shepherd, Carol Kwong, Chris Brown, Ian Norton, Stephen Clarke, Connie Diakos, Nick Pavlakis, Anubhav Mittal, Jaswinder Samra, George Hruby","doi":"10.1111/1754-9485.13874","DOIUrl":"10.1111/1754-9485.13874","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The role of stereotactic body radiotherapy (SBRT) remains unclear in the setting of pancreatic ductal adenocarcinoma (PDAC). This study aims to investigate the safety, feasibility and benefits of SBRT for PDAC in a clinical trial setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>SPAN-C was a single centre, single-arm, phase II clinical trial. Patients with locally advanced, borderline resectable, and metastatic PDAC suitable for high dose radiation were enrolled. Fiducial marker placement was mandated. Following induction chemotherapy, patients were treated with 40-45Gy in 5 fractions of external beam radiotherapy. Freedom from local failure at 12 months was the primary endpoint. Secondary endpoints included disease recurrence endpoints, acute and late toxicity, surgical outcomes, and palliative endpoints.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty patients were enrolled. Median follow up of alive patients was 5 years (min 31 months). Twenty-six completed treatment as per protocol. Nine patients (34.6%) underwent a resection, 5 of whom had a R0 resection and 2 had a complete pathologic response. The 12-month freedom from local failure was 100% for the resected subgroup and 76.5% for the unresected subgroup. Seven patients (26.9%) had local recurrences, with 5 of these in the unresected group (29.4%). Median OS was 37.9 months for the resected subgroup and 10.7 months for the unresected subgroup. Three patients had grade 3 acute toxicity, and no patients had late high-grade toxicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>SBRT was safe and feasible with high rates of local control at 12 months and low rates of toxicity. It appears a valid alternative to chemo-irradiation in both the pre-operative and inoperable setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT03505229</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"593-600"},"PeriodicalIF":1.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.13874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Praveen Kumar Chinniah, Chinmay P. Mehta, Kapil Shirodkar, Ankit B. Shah, Ankur Shah, Karthikeyan. P. Iyengar, Rajesh Botchu
Soft tissue injuries often accompany fractures that are not evident on clinical examination or radiographs. The entrapment of soft tissue within fractures and joint dislocations is an infrequent complication that may remain undiagnosed for a long time. Among the dreaded complications of this uncommon entity are non-union and loss of limb function. Conservatively managed nondisplaced fractures with soft tissue entrapment typically warrant surgery to preserve the function of vital structures such as nerves. Entrapment of soft tissue structures within a fracture can also occur after closed reduction, and rarely after surgical fixation. Therefore, radiologists must make this diagnosis early to decrease morbidity. We present a spectrum of entrapment of soft tissue structures in fractures and dislocations and review the literature.
{"title":"A Pictorial Review on Post-Traumatic Soft Tissue Entrapment","authors":"Praveen Kumar Chinniah, Chinmay P. Mehta, Kapil Shirodkar, Ankit B. Shah, Ankur Shah, Karthikeyan. P. Iyengar, Rajesh Botchu","doi":"10.1111/1754-9485.13868","DOIUrl":"10.1111/1754-9485.13868","url":null,"abstract":"<div>\u0000 \u0000 <p>Soft tissue injuries often accompany fractures that are not evident on clinical examination or radiographs. The entrapment of soft tissue within fractures and joint dislocations is an infrequent complication that may remain undiagnosed for a long time. Among the dreaded complications of this uncommon entity are non-union and loss of limb function. Conservatively managed nondisplaced fractures with soft tissue entrapment typically warrant surgery to preserve the function of vital structures such as nerves. Entrapment of soft tissue structures within a fracture can also occur after closed reduction, and rarely after surgical fixation. Therefore, radiologists must make this diagnosis early to decrease morbidity. We present a spectrum of entrapment of soft tissue structures in fractures and dislocations and review the literature.</p>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"563-573"},"PeriodicalIF":1.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The objective of this study is to investigate the variations in diffusion tensor imaging (DTI) parameters at different distances surrounding the operative cavity, with a specific focus on exploring the potential utility of DTI in accurately delineating radiotherapy clinical target volume for glioblastoma patients.
Methods
A retrospective study was conducted on 41 patients with glioblastoma, in which apparent diffusion coefficient (ADC) and fractional anisotropy (FA) values were measured at various distances beyond the surgical cavity. Recurrent patients were prospectively followed up according to the RANO criteria, aiming to investigate discrepancies between ADC and FA values in recurrent regions compared to normal control tissues prior to recurrence.
Results
The rADC and rFA ratio approach 1 at a distance of 3 cm beyond the cavity. At the edge of the operative cavity and 2 cm beyond, the subtotal resection (STR) group exhibited higher ADC and rADC values compared to the gross total resection (GTR) group (p < 0.05). Similarly, FA and rFA values in the STR group were lower than those in the total resection group both at 1 cm beyond and 2 cm beyond (p < 0.05). Conventional MRI did not reveal any abnormalities prior to marginal or distant recurrence; however, the ADC value within this region was higher than that of control normal tissues (p = 0.023).
Conclusions
The margins of GBM tumour invasion are typically not isotropic and could be > 2 cm and sometimes up to 3 cm. We recommend appropriately larger expansion of the target volume for patients with subtotal tumour resection. The utilisation of DTI in delineating the boundary of GBM's radiotherapy clinical target volume represents a promising avenue that holds potential to enhance precision and accuracy.
{"title":"Exploration of Diffusion Tensor Imaging for Delineating Target Volume Boundary in Glioblastoma Radiotherapy","authors":"Lei Tian, Wenyan Wang, Wei Sun, Huandi Zhou, Zhiqing Xiao, Xuetao Han, Xing Kang, Xiaoying Xue","doi":"10.1111/1754-9485.13873","DOIUrl":"10.1111/1754-9485.13873","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The objective of this study is to investigate the variations in diffusion tensor imaging (DTI) parameters at different distances surrounding the operative cavity, with a specific focus on exploring the potential utility of DTI in accurately delineating radiotherapy clinical target volume for glioblastoma patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective study was conducted on 41 patients with glioblastoma, in which apparent diffusion coefficient (ADC) and fractional anisotropy (FA) values were measured at various distances beyond the surgical cavity. Recurrent patients were prospectively followed up according to the RANO criteria, aiming to investigate discrepancies between ADC and FA values in recurrent regions compared to normal control tissues prior to recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The rADC and rFA ratio approach 1 at a distance of 3 cm beyond the cavity. At the edge of the operative cavity and 2 cm beyond, the subtotal resection (STR) group exhibited higher ADC and rADC values compared to the gross total resection (GTR) group (<i>p</i> < 0.05). Similarly, FA and rFA values in the STR group were lower than those in the total resection group both at 1 cm beyond and 2 cm beyond (<i>p</i> < 0.05). Conventional MRI did not reveal any abnormalities prior to marginal or distant recurrence; however, the ADC value within this region was higher than that of control normal tissues (<i>p</i> = 0.023).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The margins of GBM tumour invasion are typically not isotropic and could be > 2 cm and sometimes up to 3 cm. We recommend appropriately larger expansion of the target volume for patients with subtotal tumour resection. The utilisation of DTI in delineating the boundary of GBM's radiotherapy clinical target volume represents a promising avenue that holds potential to enhance precision and accuracy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"601-609"},"PeriodicalIF":1.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.13873","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Designing the Next Layer: Embedding Future Readiness Into Radiology Training","authors":"Jyothirmayi Velaga","doi":"10.1111/1754-9485.13870","DOIUrl":"10.1111/1754-9485.13870","url":null,"abstract":"","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"561-562"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Surgical resection is the cornerstone of rectal cancer treatment. Following neoadjuvant chemoradiotherapy (nCRT), many patients undergo surgery. Another group of patients may not undergo surgery for various reasons, regardless of nCRT response. This study investigates the differences in clinical characteristics and long-term oncological outcomes of operated and non-operated elderly rectal cancer patients.
Methods
This multicentre observational retrospective cohort analysis included 296 elderly patients (169 surgery, 127 non-surgical) treated at three tertiary cancer centres in Turkey between January 2010 and April 2024. Clinicopathologic features and survival outcomes were compared between groups.
Results
Patients in the surgery group were younger (p < 0.000) and had better performance scores (p < 0.000). There were no differences in initial clinical (c) T stages or cM stages; however, cN2 patients were more prevalent in the surgical group and cN1 patients were more prevalent in the non-surgical group (p = 0.010). No differences in radiotherapy treatment schedules were observed among the groups. The surgical group received more concurrent (p = 0.046) and adjuvant (p < 0.000) chemotherapy. Patient refusal (63.8%) was the most common reason among non-surgical patients. The surgery group showed better overall survival (OS) (median, 99 vs. 33 months) (p < 0.000), local recurrence-free survival (LRFS) (97.8% vs. 65.8% at 3 years, p < 0.000), and distant metastasis-free survival (DMFS) (80.3% vs. 73.3% at 3 years, p = 0.022).
Conclusion
This study shows that elderly rectal cancer patients without surgery had poor survival and tumour control. Surgical resection in rectal cancer is very important and should be strongly recommended for all medically suitable elderly patients.
{"title":"Real-World Long-Term Outcomes of Operated and Non-Operated Rectal Cancer in the Elderly: A 14-Year Retrospective Multicentre Study","authors":"Harun Demir, Gül Kanyılmaz, İbrahim Babalıoğlu, Bedriye Doğan, Meryem Aktan, Berrin Benli Yavuz, Ayşe Sümeyye Safi","doi":"10.1111/1754-9485.13872","DOIUrl":"10.1111/1754-9485.13872","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Surgical resection is the cornerstone of rectal cancer treatment. Following neoadjuvant chemoradiotherapy (nCRT), many patients undergo surgery. Another group of patients may not undergo surgery for various reasons, regardless of nCRT response. This study investigates the differences in clinical characteristics and long-term oncological outcomes of operated and non-operated elderly rectal cancer patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This multicentre observational retrospective cohort analysis included 296 elderly patients (169 surgery, 127 non-surgical) treated at three tertiary cancer centres in Turkey between January 2010 and April 2024. Clinicopathologic features and survival outcomes were compared between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients in the surgery group were younger (<i>p</i> < 0.000) and had better performance scores (<i>p</i> < 0.000). There were no differences in initial clinical (c) T stages or cM stages; however, cN2 patients were more prevalent in the surgical group and cN1 patients were more prevalent in the non-surgical group (<i>p</i> = 0.010). No differences in radiotherapy treatment schedules were observed among the groups. The surgical group received more concurrent (<i>p</i> = 0.046) and adjuvant (<i>p</i> < 0.000) chemotherapy. Patient refusal (63.8%) was the most common reason among non-surgical patients. The surgery group showed better overall survival (OS) (median, 99 vs. 33 months) (<i>p</i> < 0.000), local recurrence-free survival (LRFS) (97.8% vs. 65.8% at 3 years, <i>p</i> < 0.000), and distant metastasis-free survival (DMFS) (80.3% vs. 73.3% at 3 years, <i>p</i> = 0.022).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows that elderly rectal cancer patients without surgery had poor survival and tumour control. Surgical resection in rectal cancer is very important and should be strongly recommended for all medically suitable elderly patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"586-592"},"PeriodicalIF":1.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hookwire localisation (HWL) is the most established method of localising impalpable breast lesions. Previous cross-sectional study of Australian and New Zealand surgeons in 2016 found HWL to be the most widely used breast lesion localisation technique (LLT). Many non-wire techniques have subsequently been developed to address the limitations of HWL. The aim of this study is to assess current trends in the use of breast LLTs in Australia and New Zealand and to compare results with previous findings of a prior study.
Methods
Attendees of a national Breast Conference were invited to participate in an online survey between 25 March and 21 April 2023.
Results
100 complete responses were received. The number of respondents using each LLT was: HWL 95, Magseed 30, Carbon-track 26, SCOUT 19, IOUS 13, ROLLIS 9, ROLL 4, MOLLI 2. Considering the LLTs they used the most, 73 respondents stated HWL, 14 Magseed, 6 carbon-track and 4 ROLLIS. Magseed and ROLLIS were more likely to be the most used LLT of respondents in public practice, and HWL was more likely to be the most used LLT in private practice (p = 0.010). Since 2016, the use of radioguided techniques has increased (4%–13%, p = 0.036).
Conclusion
HWL remains the most used LLT; however, non-wire LLTs are being used more frequently. Although non-wire LLTs have many advantages, familiarity and cost likely also influence the choice of technique.
{"title":"Are We Off the Hook? An Update in Breast Localisation Trends","authors":"Sian Chin, Sally Burrows, Donna Taylor","doi":"10.1111/1754-9485.13866","DOIUrl":"10.1111/1754-9485.13866","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hookwire localisation (HWL) is the most established method of localising impalpable breast lesions. Previous cross-sectional study of Australian and New Zealand surgeons in 2016 found HWL to be the most widely used breast lesion localisation technique (LLT). Many non-wire techniques have subsequently been developed to address the limitations of HWL. The aim of this study is to assess current trends in the use of breast LLTs in Australia and New Zealand and to compare results with previous findings of a prior study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Attendees of a national Breast Conference were invited to participate in an online survey between 25 March and 21 April 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>100 complete responses were received. The number of respondents using each LLT was: HWL 95, Magseed 30, Carbon-track 26, SCOUT 19, IOUS 13, ROLLIS 9, ROLL 4, MOLLI 2. Considering the LLTs they used the most, 73 respondents stated HWL, 14 Magseed, 6 carbon-track and 4 ROLLIS. Magseed and ROLLIS were more likely to be the most used LLT of respondents in public practice, and HWL was more likely to be the most used LLT in private practice (<i>p</i> = 0.010). Since 2016, the use of radioguided techniques has increased (4%–13%, <i>p</i> = 0.036).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>HWL remains the most used LLT; however, non-wire LLTs are being used more frequently. Although non-wire LLTs have many advantages, familiarity and cost likely also influence the choice of technique.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"547-553"},"PeriodicalIF":1.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shabnam Mohamad Shafiq, Amlan Chowdhury, Ji Woo Kim
Despite the growing recognition of cultural safety in Australian healthcare, radiology remains an area where Aboriginal and Torres Strait Islander peoples continue to face substantial barriers. Although medical education has integrated broader Indigenous health training, clinical radiology has often been overlooked. The common misconception that radiology is a technical, patient-detached specialty has contributed to a lack of culturally competent training for radiologists and radiographers. Given the high burden of diseases requiring imaging, such as chronic respiratory illness, otitis media, cardiovascular disease and trauma-related injuries, culturally safe radiological services are vital for achieving health equity.
{"title":"Beyond the Image—Advancing Culturally Safe Radiology for Aboriginal and Torres Strait Islander Health","authors":"Shabnam Mohamad Shafiq, Amlan Chowdhury, Ji Woo Kim","doi":"10.1111/1754-9485.13871","DOIUrl":"10.1111/1754-9485.13871","url":null,"abstract":"<p>Despite the growing recognition of cultural safety in Australian healthcare, radiology remains an area where Aboriginal and Torres Strait Islander peoples continue to face substantial barriers. Although medical education has integrated broader Indigenous health training, clinical radiology has often been overlooked. The common misconception that radiology is a technical, patient-detached specialty has contributed to a lack of culturally competent training for radiologists and radiographers. Given the high burden of diseases requiring imaging, such as chronic respiratory illness, otitis media, cardiovascular disease and trauma-related injuries, culturally safe radiological services are vital for achieving health equity.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 5","pages":"583-585"},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.13871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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